MEDICARE: PREMIER HOME CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1477351955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	1913 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3917
Country	:	US
Telephone Number	:	702-986-8514
Fax Number	:

Provider Business Practice Location Address
First Line	:	1913 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3917
Country	:	US
Telephone Number	:	702-986-8514
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANA BAILETTI
Credential	:
Telephone Number	:	702-986-8514

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	03/13/2025

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Directions to “PREMIER HOME CARE SERVICES ” Practice Location

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